Individual
DR. BRUCE S BERNHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2400
(847) 318-2414
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1005
(847) 390-5900
(847) 318-2414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-068973
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036068973
—
IL
Enumeration date
07/06/2006
Last updated
05/17/2022
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